2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1255607909 M.D.
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Krystal Cleven, M.D.

Critical Care Medicine (Internal Medicine) Physician in Bronx, New York. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,631 in Critical Care Medicine (Internal Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 104 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
30%
generic claims · 70% brand-name · higher generic rates reduce patient out-of-pocket costs
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Krystal Cleven, M.D. filed 1,012 Medicare Part D claims in 2023 as a Critical Care Medicine (Internal Medicine) Physician in Bronx, New York, prescribing 30% generic.

1K
Part D claims, 2023
30%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Krystal Cleven, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

1,012 Top 24% higher than 76% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). This entry sits in this band. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2K+: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic, not verified)

Krystal Cleven, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Krystal Cleven, M.D.?

Quality data not reported

NPI registry status

Active

Issued 03/27/2012

NPI 1255607909

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

1,012 5% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

Specialty distribution in New York

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among New York providers

New York providers
Student in an Organized Health Care Education/Training Program - 7.8%Student in an Organized Health Care Education/Training Program7.8%Registered Nurse - 5.2%Registered Nurse5.2%Clinical Social Worker - 4.9%Clinical Social Worker4.9%Social Worker - 4.5%Social Worker4.5%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse - 4.3%Licensed Practical Nurse4.3%Critical Care Medicine (Internal Medicine) Physician - 0.1%Critical Care Medicine (Internal Medicine) Physician0.1%
Largest specialties in New York (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Critical Care Medicine (Internal Medicine) Physician. Verify directly:

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Krystal Cleven, M.D. appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding M.D. credentials at 111 E 210TH ST, Bronx, NY, 10467, with a listed phone of (718) 920-6054. NPI 1255607909 was issued on 03/27/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Cleven most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,012 prescription claims written by this provider, covering 104 Medicare beneficiaries and totaling roughly $519K in drug spend, split 70% brand-name and 30% generic by claim count. These figures capture only Medicare Part D, commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

111 E 210TH ST
Bronx, NY 10467

Provider Details

NPI 1255607909
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Female
NPI Issued 03/27/2012

Hospital and facility affiliations

Facilities where Krystal Cleven, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Montefiore Medical Center
★★★☆☆ 3/5
Bronx, NY
Acute Care Hospitals
CMS CCN: 330059

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - New York NYSBPMC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to Krystal Cleven, M.D.. To verify Krystal Cleven, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

Krystal Cleven, M.D. - brand share 70.0%
Critical Care Medicine (Internal Medicine) Physician average

70% brand-name claims vs 30% generic, on 1,012 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,012
Total Claims
$519K
Total Drug Cost
104
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,201
Total Day Supply
34,345
Brand vs Generic
70% brand / 30% generic
Brand Drug Cost
$512K
Generic Drug Cost
$7K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
66.0 years
Avg HCC Risk Score
2.11
Gender Split
84% female / 16% male
Age Distribution
<65: 41, 65-74: 45, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Krystal Cleven, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
258
Montelukast Sodium
141
Symbicort
Budesonide/Formoterol Fumarate
118
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
84
Spiriva Respimat
Tiotropium Bromide
50
Incruse Ellipta
Umeclidinium Bromide
43
Ventolin Hfa
Albuterol Sulfate
37
Dupixent Syringe
Dupilumab
33
Prednisone
32
Breo Ellipta
Fluticasone/Vilanterol
31

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Critical Care Medicine (Internal Medicine) Physician Overview

How Krystal Cleven, M.D. fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

Krystal Cleven, M.D.'s 1,012 claims are below the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Cleven.

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the New York medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Critical Care Medicine (Internal Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Krystal Cleven, M.D.'s specialty?
Krystal Cleven, M.D. specializes in Critical Care Medicine (Internal Medicine) Physician and practices in Bronx, New York. Credentials: M.D..
How much does Krystal Cleven, M.D. prescribe under Medicare Part D?
In 2023, Krystal Cleven, M.D. wrote 1,012 Medicare Part D claims totaling $519K in drug costs for 104 beneficiaries.
Where is Krystal Cleven, M.D. located?
Krystal Cleven, M.D. is located at 111 E 210TH ST, Bronx, NY, 10467. Phone: (718) 920-6054.
What is Krystal Cleven, M.D.'s NPI number?
Krystal Cleven, M.D.'s National Provider Identifier (NPI) is 1255607909, issued on 03/27/2012.
Does Krystal Cleven, M.D. prescribe more brand-name or generic drugs?
Krystal Cleven, M.D.'s prescribing is 70% brand-name and 30% generic drugs by claim count, with $512K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does Krystal Cleven, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Krystal Cleven, M.D.'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Montelukast Sodium, Symbicort. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Krystal Cleven, M.D. accept Medicare?
Krystal Cleven, M.D. appears in CMS Medicare data with 1,012 Part D claims and 104 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Krystal Cleven, M.D.'s credentials?
Krystal Cleven, M.D.'s NPI is 1255607909 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.